Strategic Patient Billing & Claims Specialist

Staff_02 Halifax Staffing Inc.; Daytona Beach (FL); Presencial; USD 48.000 - 68.000; Jornada completa

Descripción de la vacante

Halifax Health in Daytona Beach, FL, seeks a Patient Accounting Representative - Claims Processor Review to process, bill, and follow up on third-party claims. You will interact with payers to resolve accounts and determine appropriate adjustments, ensuring timely payments.

You will work with HCPCS/UB04 coding and utilize billing systems to manage denials, remittance advice, and account updates, contributing to efficient revenue cycle operations.

Formación

• Experience in patient accounting and claims processing.
• Knowledge of HCPCS and UB04 coding.
• Strong communication with payers and guarantors.

Responsabilidades

• Process insurance claims promptly and accurately to meet performance standards.
• Review and follow up on disputed or denied claims with payers.
• Update billing and registration systems with demographic/insurance changes.
• Research and resolve discrepancies and apply appropriate contractual adjustments.
• Meet production goals while maintaining accuracy and timeliness.

Conocimientos

Patient accounting

Claims processing

Payer communication

Denials management

HCPCS/UB04 coding

Herramientas

Billing systems

Billing software

Descripción del empleo

Halifax Health in Daytona Beach, FL, seeks a Patient Accounting Representative - Claims Processor Review to process, bill, and follow up on third-party claims. You will interact with payers to resolve accounts and determine appropriate adjustments, ensuring timely payments.

You will work with HCPCS/UB04 coding and utilize billing systems to manage denials, remittance advice, and account updates, contributing to efficient revenue cycle operations.